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Int J Clin Pract. 1999 Jan-Feb;53(1):75-6.

Deep vein thrombosis as a presenting symptom of congenital interruption of the inferior vena cava.

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1
Department of Internal Medicine, University Hospital Vrije Universiteit, Amsterdam, Netherlands.

Abstract

Infrahepatic interruption of the inferior vena cava is a congenital anomaly, resulting in venous drainage of the lower extremities by way of a compensatory enlarged vena azygos system. We report the case of a 37-year-old male who presented with symptoms of deep vein thrombosis of the entire right lower extremity. A right-sided mediastinal mass on the chest X-ray was mistaken for a haematological malignancy but proved later to represent an enlarged azygos vein. The case illustrates that in a case of deep vein thrombosis, especially in younger patients, interruption of the inferior vena cava should be considered. A right-sided paratracheal mass on the chest X-ray may give a clue in making the correct diagnosis.

PMID:
10344071
[Indexed for MEDLINE]
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